Provider Demographics
NPI:1558469254
Name:BRENDEL, KRISTEN LEE (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:LEE
Last Name:BRENDEL
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:ESPOSITO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LCSW
Mailing Address - Street 1:3380 LACROSSE LN STE 111
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8521
Mailing Address - Country:US
Mailing Address - Phone:630-474-5119
Mailing Address - Fax:
Practice Address - Street 1:324 W STATE ST
Practice Address - Street 2:SUITE 110
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2178
Practice Address - Country:US
Practice Address - Phone:630-474-5119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL1490096421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical